使用RE-AIM框架检查Vida Sana的潜在公共卫生影响:一项纵向定性研究
Megan A Lewis1, Laura K Wagner1, Lisa G Rosas2
1RTI International, Research Triangle Park, NC, United States.
Translational behavioral medicine
|November 13, 2025
概括
维达萨纳计划有效地支持拉丁裔成年人的体重管理,有代谢风险. 在初级保健中实施是可行的,患者和工作人员的见解指导未来的改进,以获得更大的公共卫生影响.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 健康行为
- 健康差异 在健康上的差异
背景情况:
- 维达·萨纳 (Vida Sana) 是一项基于证据的,文化适应的体重管理计划,适用于超重,代谢综合征或糖尿病前期的拉丁裔成年人.
- 很少有研究评估这种干预措施在临床环境中对这一群体的实施潜力.
研究的目的:
- 通过 RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架评估Vida Sana的实施情况.
- 在不同利益相关者群体 (患者,医生,健康教练,招聘人员) 中识别障碍和促进者.
- 为未来的干预改进和交付策略提供信息.
主要方法:
- 在Vida Sana混合型1型试验中嵌入的纵向定性实施评估.
- 在多个时间点与患者 (n=28),健康教练 (2) 和医生冠军 (2) 进行半结构化采访.
- 对面试数据和招聘人员的反表格进行框架分析.
主要成果:
- 患者报告增加了饮食,体育活动和体重管理方面的知识,技能和自我监测.
- 有效性和可持续性的关键障碍包括需要加强卫生系统支持.
- 文化适应有助于有效性,但对于持续的行为变化,可能需要进一步的适应.
结论:
- 维达萨纳计划可以在初级保健机构内实施.
- 利益相关者在RE-AIM维度中确定了促进者和障碍.
- 解决已识别的因素可以增强Vida Sana的公共卫生影响.
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